HEATHER JEAN-WITTMAN SMITH (NPI# 1669626446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669626446 |
| Entity Type | Individual |
| Full Name | HEATHER JEAN-WITTMAN SMITH |
| Credential | COTA |
| Practice Address |
1101 E South River St Appleton WI 54915-2223 |
| Mailing Address |
4321 Springcrest Dr Kaukauna WI 54130-4331 |
| Practice Telephone | 9208309911 |
| Practice Fax Number | 9209978673 |
| Mailing Telephone | 9204702034 |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2018-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 2055-027 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3305 N Ballard Rd Ste C, Appleton, WI 549119001 | 9207359234 | |
| 325 E Florida Ave, Appleton, WI 549111325 | 9207317310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396057 | Heather Smith | Behavior Technician | 25a Cr 5060, Bloomfield, NM 87413 | 2020-11-04 |
| 1043819071 | Heather Marie Smith | Technician | 117 Jarrolds Valley Rd, Whitesville, WV 25209-9465 | 2020-10-21 |
| 1912525387 | Heather Noel Smith | Dietitian, Registered | 206 Dela Gaye Pt, Beaufort, SC 29902-5888 | 2020-07-11 |
| 1326669722 | Heather Smith | Physical Therapist | 8257 Ballard Rd, Colfax, NC 27235-9710 | 2020-04-27 |
| 1770114068 | Heather Smith | Registered Nurse | 1398 New Hope Rd, Staunton, VA 24401-9262 | 2020-01-27 |
| 1669019659 | Heather Alexandra Smith | Counselor | 6221 Ne Fourth Plain Blvd, Suite 130, Vancouver, WA 98661-7210 | 2019-12-09 |
| 1962058859 | Heather Smith | Physical Therapy Assistant | 9604 57th Ave Apt 15h, Corona, NY 11368-3419 | 2019-08-15 |
| 1376017376 | Heather Sara Smith | Chiropractor | 4900 Highway 169 N Ste 205, New Hope, MN 55428-4017 | 2019-01-14 |
| 1245700475 | Heather Smith | Registered Nurse | 12555 Hwy 14 N, Sandia Park, NM 87047-9308 | 2018-11-30 |
| 1558840652 | Heather N Smith | Speech-Language Pathologist | 140 W Kennedale Pkwy, Kennedale, TX 76060 | 2018-08-09 |
| Street Address |
1101 E SOUTH RIVER ST |
| City | APPLETON |
| State | WI |
| Zip Code | 54915-2223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822612 | Sarah Minsky | Physical Therapist | 1101 E South River St, Appleton, WI 54915-2223 | 2020-08-17 |
| 1013553031 | Jenna Lynn Soboleski | Occupational Therapist | 1101 E South River St, Appleton, WI 54915-2223 | 2019-11-25 |
| 1447891023 | Emily Taft | Speech-Language Pathologist | 1101 E South River St, Appleton, WI 54915-2223 | 2019-10-04 |
| 1316501034 | Lisa M Newman | Physical Therapy Assistant | 1101 E South River St, Appleton, WI 54915-2223 | 2019-04-29 |
| 1396111068 | Prn Home Health & Therapy, LLC | Home Health | 1101 E South River St, Appleton, WI 54915-2223 | 2015-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1912426958 | Shanna L. Larsen | Registered Nurse | 1101 E. South River St., Appleton, WI 54915 | 2017-09-11 |
| 1477082816 | Amy Fazel | Driver | 226 E Calumet St, Appleton, WI 54915 | 2017-06-08 |
| 1871940213 | B.a.israel LLC | Community Based Residential Treatment Facility, Mental Illness | N9520 Silver Court, Appleton, WI 54915 | 2016-05-16 |
| 1982933479 | Stephanie I. Braski | Counselor | 1531 S. Oneida St, Appleton, WI 54915 | 2009-12-14 |
| 1386808319 | Shawn S Williamson | Emergency Medicine | 1506 South Oneida Street, Appleton, WI 54915 | 2008-07-18 |
| 1700040870 | Heidi Jo Van Toll | Occupational Therapist | 1335 S Oneida Street, Appleton, WI 54915 | 2008-07-17 |
| 1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
| 1265699748 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Fl 4, Appleton, WI 54915 | 2008-05-21 |
| 1073770558 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Ste 580, Appleton, WI 54915 | 2008-05-21 |
| Find all providers in zip 54915 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578099131 | Jerry Smith | Occupational Therapy Assistant | 2125 N Sherri Lin Ct Apt G, Appleton, WI 54914-1873 | 2017-05-02 |
| 1184178279 | Jenna Becker | Occupational Therapy Assistant | N9437 Sara Ln, Appleton, WI 54915-5206 | 2016-08-07 |
| 1003221888 | Eric Dybala | Occupational Therapy Assistant | 3538 Northridge Ct, Appleton, WI 54914-6738 | 2014-06-30 |
| 1558708438 | Krista Mcduffee | Occupational Therapy Assistant | 510 E Wisconsin Ave Ste 2, Appleton, WI 54911-4865 | 2013-05-31 |
| 1770850158 | Amy Brylski | Occupational Therapy Assistant | W6261 Spencer Rd, Appleton, WI 54914-7528 | 2011-11-29 |
| 1659648855 | Amy Marie Paine | Occupational Therapy Assistant | 3300 West Brewster Street, Appleton, WI 54914-1699 | 2011-11-17 |
| 1548548852 | Esther Lea Rolfe | Occupational Therapy Assistant | 1426 N Superior St, Apt. 3, Appleton, WI 54911-3645 | 2011-08-03 |
| 1568751808 | Melissa J Gitter | Occupational Therapy Assistant | 1041 E Capitol Dr, Appleton, WI 54911-1436 | 2011-04-06 |
| 1942497847 | Sheila May Banda | Occupational Therapy Assistant | 2600 S. Heritage Woods Drive, Appleton, WI 54915-1408 | 2007-09-25 |
| 1568508935 | Lisa M Mehrens | Occupational Therapy Assistant | 3305 N Ballard Rd, Suite C, Appleton, WI 54911-9001 | 2007-01-30 |
| Find all providers in APPLETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.